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Individual

EVA NOVAK BLIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NNP

Contact information

Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
(409) 772-2222
Mailing address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
(409) 772-2222

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
AP110635
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
45-2578435
TRICARE
TX
01
45-2578435-001
TRICARE
TX
01
45-2578435-002
TRICARE
TX
01
P01536092
RAIL ROAD
TX
Enumeration date
02/21/2008
Last updated
02/06/2020
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